[b]Your in-game name:[/b]
[b]Your Steam name:[/b]
[b]Your Steam32 ID:[/b]
[b]Name of the server you were banned:[/b]
[b]Your side of the story:[/b]
[b]Admin who banned you:[/b]
[b]Reason you have been banned:[/b]
[b]How long have you been banned:[/b]
[b]Anything else you would like us to know:[/b]